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Abstrakty
Arterial stiffness measurements are primarily used for the early detection of arteriosclerosis. Methods and devices that can easily measure arterial stiffness at home are in demand. We propose a simple method for measuring brachial–ankle pulse wave velocity (baPWV) at home using a reclining chair and investigate the effects of positioning on baPWV measurement. We measured baPWV in 50 healthy men (21–70 years) in seven different measurement positions, including the supine position, sitting, sitting with the knees flexed at 45°, sitting with the knees flexed at 0°, reclining at 37°, reclining at 50°, and standing. BaPWV was significantly lower in the supine position (P < 0.01) than in the other positions. It was significantly higher in the sitting position (P < 0.01) than in the reclining position (37°). No changes in baPWV were seen changing the knee flexion angle alone while sitting. Strong correlations were also observed between baPWV in the supine position and that in other positions. We showed that baPWV in the supine position can be calculated by making corrections to baPWV measured in the sitting position at a reclining angle. Utilizing this corrected value would allow easy measurement at home using a reclining chair.
Czasopismo
Rocznik
Tom
Strony
111--116
Opis fizyczny
Bibliogr. 17 poz., rys., tab., wykr.
Twórcy
autor
- Department of Mechanical and Intelligent Engineering, Utsunomiya University, Graduate School of Engineering, Utsunomiya, Japan
autor
- Department of Mechanical and Intelligent Engineering, Utsunomiya University, Graduate School of Engineering, Utsunomiya, Japan
autor
- Department of Mechanical and Intelligent Engineering, Utsunomiya University, Graduate School of Engineering, Utsunomiya, Japan
autor
- Department of Mechanical and Intelligent Engineering, Utsunomiya University, Graduate School of Engineering, Utsunomiya, Japan
Bibliografia
- [1] DUPREZ D.A., COHN J.N., Arterial stiffness as a risk factor for coronary atherosclerosis, Curr. Atheroscler. Rep, 2007, 9(2), 139–144.
- [2] HAMILTON P.K., LOCKHART C.J., QUINN C.E., MCVEIGH G.E., Arterial stiffness: clinical relevance, measurement and treatment, Clin. Sci. (Lond), 2007, 113(4), 157–170.
- [3] HASEGAWA M., RODBARD S., Effect of posture on the arterial pressures, timing of the arterial sounds and pulse wave velocities in the extremities, Cardiology, 1979, 64(2), 122–132.
- [4] JACCOUD L., ROTARU C., HEIM A., LIAUDET L., WAEBER B., HOHLFELD P., FEIHL F., Major impact of body position on arterial stiffness indices derived from radial applanation tonometry in pregnant and nonpregnant women, J. Hypertens., 2012, 30(6), 1161–1168.
- [5] MCVEIGH G.E., HAMILTON P.K., MORGAN D.R., Evaluation of mechanical arterial properties: clinical, experimental and therapeutic aspects, Clin. Sci. (Lond), 2002, 102(1), 51–67.
- [6] MUNAKATA M., ITO N., NUNOKAWA T., YOSHINAGA K., Utility of automated brachial ankle pulse wave velocity measurements in hypertensive patients, Am. J. Hypertens., 2003, 16(8), 653–657.
- [7] NÜRNBERGER J., MICHALSKI R., TÜRK T.R., OPAZO SAEZ A., WITZKE O., KRIBBEN A., Can arterial stiffness parameters be measured in the sitting position?, Hypertens Res., 2011, 34(2), 202–208.
- [8] OLIVER J.J., WEBB D.J., Noninvasive assessment of arterial stiffness and risk of atherosclerotic events, Arterioscler. Thromb. Vasc. Biol., 2003, 23(4), 554–566.
- [9] REESINK K.D., HERMELING E., HOEBERIGS M.C., RENEMAN R.S., HOEKS A.P., Carotid artery pulse wave time characteristics to quantify ventriculoarterial responses to orthostatic challenge, J. Appl. Physiol., (1985), 2007, 102(6), 2128–2134.
- [10] SHIRAI K., UTINO J., OTSUKA K., TAKATA M., A novel blood pressure-independent arterial wall stiffness parameter; cardio-ankle vascular index (CAVI), J. Atheroscler. Thromb., 2006, 13(2), 101–107.
- [11] SUGAWARA J., HAYASHI K., YOKOI T., CORTEZ-COOPER M.Y., DEVAN A.E., ANTON M.A., TANAKA H., Brachial–ankle pulse wave velocity: an index of central arterial stiffness?, J. Hum. Hypertens., 2005, 19(5), 401–406.
- [12] TANAKA H., MUNAKATA M., KAWANO Y., OHISHI M., SHOJI T., SUGAWARA J., TOMIYAMA H., YAMASHINA A., YASUDA H., SAWAYAMA T., OZAWA T., Comparison between carotidfemoral and brachial-ankle pulse wave velocity as measures of arterial stiffness, J. Hypertens., 2009, 27(10), 2022–2027.
- [13] TOMIYAMA H., YAMASHINA A., ARAI T., HIROSE K., KOJI Y., CHIKAMORI T., HORI S., YAMAMOTO Y., DOBA N., HINOHARA S., Influences of age and gender on results of noninvasive brachial-ankle pulse wave velocity measurement--a survey of 12517 subjects, Atherosclerosis, 2003, 166(2), 303–309.
- [14] TOMIYAMA H., KOJI Y., YAMBE M., SHIINA K., MOTOBE K., YAMADA J., SHIDO N., TANAKA N., CHIKAMORI T., YAMASHINA A., Brachial – ankle pulse wave velocity is a simple and independent predictor of prognosis in patients with acute coronary syndrome, Circ. J., 2005, 69(7), 815–822.
- [15] VAN BORTEL L.M., DUPREZ D., STARMANS-KOOL M.J., SAFAR M.E., GIANNATTASIO C., COCKCROFT J., KAISER D.R., THUILLEZ C., Clinical applications of arterial stiffness, Task Force III: recommendations for user procedures, Am. J. Hypertens., 2002, 15(5), 445–452.
- [16] YAMASHINA A., TOMIYAMA H., TAKEDA K., TSUDA H., ARAI T., HIROSE K., KOJI Y., HORI S., YAMAMOTO Y., Validity, reproducibility, and clinical significance of noninvasive brachial-ankle pulse wave velocity measurement, Hypertens. Res., 2002, 25(3), 359–364.
- [17] YAMBE T., YOSHIZAWA M., SAIJO Y., YAMAGUCHI T., SHIBATA M., KONNO S., NITTA S., KUWAYAMA T., Brachio – ankle pulse wave velocity and cardio-ankle vascular index (CAVI), Biomed. Pharmacother., (Suppl. 1), 2004, 58, S95–S98.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-bcfc4860-a3c8-4d66-8230-2784ce41a29b